Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm

Anne Lyren, Richard J. Brilli, Karen Zieker, Miguel Marino, Stephen Muething, Paul J. Sharek

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

OBJECTIVES: To determine if an improvement collaborative of 33 children's hospitals focused on reliable best practice implementation and culture of safety improvements can reduce hospital-acquired conditions (HACs) and serious safety events (SSEs). METHODS: A 3-year prospective cohort study design with a 12-month historical control population was completed by the Children's Hospitals' Solutions for Patient Safety collaborative. Identification and dissemination of best practices related to 9 HACs and SSE reduction focused on key process and culture of safety improvements. Individual hospital improvement teams leveraged the resources of a large, structured children's hospital collaborative using electronic, virtual, and in-person interactions. RESULTS: Thirty-three children's hospitals from across the United States volunteered to be part of the Children's Hospitals' Solutions for Patient Safety collaborative. Thirty-two met all the data submission eligibility requirements for the HAC improvement objective of this study, and 21 participated in the high-reliability culture work aimed at reducing SSEs. Significant harm reduction occurred in 8 of 9 common HACs (range 9%-71%; P < .005 for all). The mean monthly SSE rate decreased 32% (from 0.77 to 0.52; P < .001). The 12-month rolling average SSE rate decreased 50% (from 0.82 to 0.41; P < .001). CONCLUSIONS: Participation in a structured collaborative dedicated to implementing HAC-related best-practice prevention bundles and culture of safety interventions designed to increase the use of high-reliability organization practices resulted in significant HAC and SSE reductions. Structured collaboration and rapid sharing of evidence-based practices and tools are effective approaches to decreasing hospital-acquired harm.

Original languageEnglish (US)
Article numbere20163494
JournalPediatrics
Volume140
Issue number3
DOIs
StatePublished - Sep 1 2017

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Iatrogenic Disease
Patient Safety
Safety
Safety Management
Practice Guidelines
Harm Reduction
Evidence-Based Practice
Cohort Studies
Organizations
Prospective Studies
Population

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. / Lyren, Anne; Brilli, Richard J.; Zieker, Karen; Marino, Miguel; Muething, Stephen; Sharek, Paul J.

In: Pediatrics, Vol. 140, No. 3, e20163494, 01.09.2017.

Research output: Contribution to journalArticle

Lyren, Anne ; Brilli, Richard J. ; Zieker, Karen ; Marino, Miguel ; Muething, Stephen ; Sharek, Paul J. / Children's hospitals' solutions for patient safety collaborative impact on hospital-acquired harm. In: Pediatrics. 2017 ; Vol. 140, No. 3.
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